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Homestead_Weaver (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARERS eT .- . i....- _ — z.. Yl] ':.`;n" ,C _ _ l _ x ,°_- --- si �-.--- . rx a r. Bryceann Cutsinger Preparer of the Sales Disclosure Form Title 226 W. Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton,IN 47670 812-386-1687 btitmw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S). _ . - - - _._ . '1 s._ - - it LE': - ;.I`... Kenneth B Rigsby Melissa E Rigsby Seller I-Name as appears on conveyance document Seller 2-Nome as appears on conveyance document 4177 E Valley Pass 4177 E Valley Pass Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a omplete ep�-ed by 1 and is prepared in accordance with IC;61-5.5,1-5.5,"Real Prjpe/Y Sale Disclosure Act". Si er ✓✓✓ If// sign; eof5Nler O,,, ,/7 0 -0 ` 20/C Melissa.Ri sb I� (6 Kenneth B Rigsby t Y Printed Name o/SN/er Sian Date[MM/DD/Y1T'YJ Printed Nameo/seller Sipn Doti IMM/OD/YYV1] F.'BUYER(S)/GRANTEE(S)-APP,LIGATIONFOIL•PROEERTY TAX DEDUGTIONSS IDENTIFY,ALL ITEMS THAT APP I;AC.r --.__)_ _ Michael P.Weaver Maria A.Weaver is...T."4k Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 10094 S.Partridge Ave. 10094 S. Partridge Ave. Address(Number and Street) Address(Number and Street) O > N, Haubstadt, IN 47639 Haubstadt. IN 47639 � THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY'ALL OF THOSE THAT APP?&4 S j YES NO CONDITION I YES NO CONDITION U ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead ,00. - residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Systegne residence,including county: ❑ Z 5.Wind Power Device 4177 E Valley Pass Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt,IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County Q 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. 10094 S.Partridge Ave. Not available in all counties.) Address adt,(Number IN 4763 Street) 4P Qr7 / Haubstadt,Co 47639 Gibson Z-�3_/���_ - %f City,State ZIP Code County Primary property owner contact name E-mail